{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T00:44:19Z","timestamp":1793234659136,"version":"4.5.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>During the COVID-19 pandemic, children were out of school due to Stay-at-Home Orders. The objective of this study was to investigate how the COVID-19 pandemic may have impacted the incidence of burn injuries in children. Eight Level I Pediatric Trauma Centers participated in a retrospective study evaluating children &amp;lt;18 years old with traumatic injuries defined by the National Trauma Data Bank. Patients with burn injuries were identified by ICD-10 codes. Historical controls from March to September 2019 (\u201cControl\u201d cohort) were compared to patients injured after the start of the COVID-19 pandemic from March to September 2020 (\u201cCOVID\u201d cohort). A total of 12,549 pediatric trauma patients were included, of which 916 patients had burn injuries. Burn injuries increased after the start of the pandemic (COVID 522\/6711 [7.8%] vs Control 394\/5838 [6.7%], P = .03). There were no significant differences in age, race, insurance status, burn severity, injury severity score, intent or location of injury, and occurrence on a weekday or weekend between cohorts. There was an increase in flame burns (COVID 140\/522 [26.8%] vs Control 75\/394 [19.0%], P = .01) and a decrease in contact burns (COVID 118\/522 [22.6%] vs Control 112\/394 [28.4%], P = .05). More patients were transferred from an outside institution (COVID 315\/522 patients [60.3%] vs Control 208\/394 patients [52.8%], P = .02), and intensive care unit length of stay increased (COVID median 3.5 days [interquartile range 2.0\u201311.0] vs Control median 3.0 days [interquartile range 1.0\u20134.0], P = .05). Pediatric burn injuries increased after the start of the COVID-19 pandemic despite Stay-at-Home Orders intended to optimize health and increase public safety.<\/jats:p>","DOI":"10.1093\/jbcr\/irac118","type":"journal-article","created":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T22:18:22Z","timestamp":1660947502000},"page":"399-407","source":"Crossref","is-referenced-by-count":18,"title":["A Multi-institutional Study Evaluating Pediatric Burn Injuries During the COVID-19 Pandemic"],"prefix":"10.1093","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5415-1651","authenticated-orcid":false,"given":"Christina M","family":"Georgeades","sequence":"first","affiliation":[{"name":"Department of Surgery, Medical College of Wisconsin , Milwaukee , USA"},{"name":"Division of Pediatric Surgery, Children\u2019s Wisconsin , Milwaukee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia T","family":"Collings","sequence":"additional","affiliation":[{"name":"Department of Surgery, Indiana University , Indianapolis, Indiana , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manzur","family":"Farazi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical College of Wisconsin , Milwaukee , USA"},{"name":"Division of Pediatric Surgery, Children\u2019s Wisconsin , Milwaukee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary E","family":"Fallat","sequence":"additional","affiliation":[{"name":"Norton Children\u2019s Hospital , Louisville, Kentucky , USA"},{"name":"Hiram C. Polk Jr., Department of Surgery, University of Louisville , Kentucky , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter C","family":"Minneci","sequence":"additional","affiliation":[{"name":"Center for Surgical Outcomes Research, Abigail Wexner Research Institute and Department of Surgery, Nationwide Children\u2019s Hospital, The Ohio State University College of Medicine , Columbus, Ohio , USA"},{"name":"Department of Pediatric Surgery, Nationwide Children\u2019s Hospital , Columbus, Ohio , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas T","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical College of Wisconsin , Milwaukee , USA"},{"name":"Division of Pediatric Surgery, Children\u2019s Wisconsin , Milwaukee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen Elizabeth","family":"Speck","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Mott Children\u2019s Hospital , Ann Arbor, Michigan , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Van Arendonk","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical College of Wisconsin , Milwaukee , USA"},{"name":"Division of Pediatric Surgery, Children\u2019s Wisconsin , Milwaukee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine J","family":"Deans","sequence":"additional","affiliation":[{"name":"Center for Surgical Outcomes Research, Abigail Wexner Research Institute and Department of Surgery, Nationwide Children\u2019s Hospital, The Ohio State University College of Medicine , Columbus, Ohio , USA"},{"name":"Department of Pediatric Surgery, Nationwide Children\u2019s Hospital , Columbus, Ohio , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Richard A","family":"Falcone","sequence":"additional","affiliation":[{"name":"Division of Pediatric General and Thoracic Surgery, Cincinnati Children\u2019s Hospital Medical Center , Ohio , USA"},{"name":"Department of Surgery, College of Wisconsin , Milwaukee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David S","family":"Foley","sequence":"additional","affiliation":[{"name":"Norton Children\u2019s Hospital , Louisville, Kentucky , USA"},{"name":"Hiram C. Polk Jr., Department of Surgery, University of Louisville , Kentucky , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Fraser","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children\u2019s Mercy Hospital , Kansas City, Missouri , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"Gadepalli","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Mott Children\u2019s Hospital , Ann Arbor, Michigan , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin S","family":"Keller","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Washington University School of Medicine , St Louis, Missouri , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meera","family":"Kotagal","sequence":"additional","affiliation":[{"name":"Division of Pediatric General and Thoracic Surgery, Cincinnati Children\u2019s Hospital Medical Center , Ohio , USA"},{"name":"Department of Surgery, Medical College of Wisconsin , Milwaukee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew P","family":"Landman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Indiana University , Indianapolis, Indiana , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles M","family":"Leys","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, University of Wisconsin , Madison, Wisconsin , US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Troy A","family":"Markel","sequence":"additional","affiliation":[{"name":"Department of Surgery, Indiana University , Indianapolis, Indiana , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Rubalcava","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Mott Children\u2019s Hospital , Ann Arbor, Michigan , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn D","family":"St. Peter","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children\u2019s Mercy Hospital , Kansas City, Missouri , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine T","family":"Flynn-O\u2019Brien","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical College of Wisconsin , Milwaukee , USA"},{"name":"Division of Pediatric Surgery, Children\u2019s Wisconsin , Milwaukee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,8,19]]},"reference":[{"key":"2023030304333458700_","author":"Indiana Senate Democrats","year":"2020"},{"key":"2023030304333458700_","author":"Governor of Ohio","year":"2020"},{"key":"2023030304333458700_","author":"Kentucky Youth 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